J Korean Neuropsychiatr Assoc.  2015 Aug;54(3):309-315. 10.4306/jknpa.2015.54.3.309.

Factors Affecting Stigma Resistance in Patients with Bipolar Disorder

• Kang SH
• Kim WJ
• Song YJ
• Kim JM
• Namkoong K
• Ha K
• Cho HS

• KMID: 2035964
• DOI: http://doi.org/10.4306/jknpa.2015.54.3.309

Abstract

OBJECTIVES
Stigma resistance is an individual capacity to fight the stigma of mental illness and is an issue of ongoing research regarding the stigma. The aim of this study was to evaluate predictors of stigma resistance in patients with bipolar disorder.
METHODS
Demographic, clinical, and psychosocial data were collected from 102 bipolar patients in a university mental hospital. Stigma resistance was measured using a subscale of the Internalized Stigma of Mental Illness Scale. Patients completed self-reported questionnaires including items on self-esteem, hopelessness, social support, and social conflict.
RESULTS
Stigma resistance showed positive association with functioning, self-esteem, and social support, and showed negative association with depressive symptoms, hopelessness, and social conflict. In multivariate analysis, stigma resistance was predicted by sex, education, and self-esteem. Self-esteem was the strongest predictive factor of stigma resistance.
CONCLUSION
In accordance with previous studies, self-esteem was a central role of predicting stigma resistance. A program for improving self-esteem and its related psychosocial factors will be helpful to enhancing stigma resistance in bipolar patients.

Keyword

Stigma resistance; Psychosocial factors; Self esteem; Bipolar disorder

MeSH Terms

Bipolar Disorder*
Depression
Education
Hospitals, Psychiatric
Humans
Multivariate Analysis
Psychology
Self Concept

Figure

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  Fig. 1 Pathways of prediction of stigma resistance in bipolar disorder. Thick arrows, regression β weights ; thin arrows, correlation coefficients.

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